摘要
目的:了解新型农村合作医疗高额住院病例医疗费用构成及特征,为控制医疗费用的过快增长提供依据。方法:选择2009年某市一次住院费用5万元以上的新型农村合作医疗病例415例,对其总费用基本特征进行统计分析。结果:新型农村合作医疗高额住院病例主要以循环系统疾病、损伤和中毒和肿瘤为主。不同住院天数的医疗费用有统计学差异(P<0.01)。结论:加强对循环系统疾病、损伤和中毒类疾病的治疗,提高床位使用率和控制药品比例等是控制高额住院病例医疗费用的关键。
Objective： To understand the constitution and characteristics of new rural cooperative medical scheme （NCMS） inpatients to provide evidence for excessive medical service. Method： Selecting 415 inpatients whose total inward expense is over 50 000 yuan and analyzing its fundamental characters anti the total expense. Results： The diseases of super high cost of inpatients are mainly circulatory system diseases, injuries, poisons and tumor; the disease distribution is relatively centralized. There is significant statistics difference between different inward days （P〈0.01）. Conclusion： It is suggested that to strengthen the research and diagnosis and treatment of circulatory system diseases, injuries and poisons diseases, and so on; to improve the using efficiency of hospital beds; strengthen the supervision mechanism; suppress the exeessive medical treatment are the key points of controlling the proportion of drugs consumables.
出处
《中国卫生经济》
北大核心
2012年第1期55-57,共3页
Chinese Health Economics
基金
广西卫生厅重大课题
关键词
新型农村合作医疗
高额住院病例
医疗费用
new rural cooperative medical scheme
super high cost of inpatient
medical expenditure
